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Speedy’s Employment Application

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Speedy’s Employment Application

We are always accepting applications for our ten convenience stores in the St. Joseph and Kansas City area as well as our car wash in Kansas City. Please apply below to join a winning team.

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This field is for validation purposes and should be left unchanged.

Employee Type(Required)

Name(Required)

FIRST NAME MIDDLE NAME LAST NAME

BIRTHDATE(Required)

Month

Day

Year

AGE(Required)

GENDER

PHONE(Required)

EMAIL

CURRENT ADDRESS(Required)

STREET ADDRESS CITY STATE / PROVINCE / REGION ZIP / POSTAL CODE COUNTRY

HOW LONG AT CURRENT ADDRESS?

PREVIOUS ADDRESS

STREET ADDRESS CITY STATE / PROVINCE / REGION ZIP / POSTAL CODE COUNTRY

HOW LONG AT PREVIOUS ADDRESS?

FOR FEDERAL, STATE AND LOCAL REGULATIONS REGARDING THE PERFORMANCE OF CERTAIN DUTIES, INCLUDING SALE OF TOBACCO AND LIQUOR, PLEASE STATE: ARE YOU 18 YEARS OF AGE OR OLDER?(Required)

HAVE YOU PREVIOUSLY APPLIED FOR OR WORKED FOR SPEEDY'S?(Required)

IF YES, WHEN / WHERE?

DO YOU KNOW ANYONE CURRENTLY EMPLOYED BY SPEEDY'S?

IF YES, WHO?

WHO DO WE CONTACT IN CASE OF EMERGENCY?(Required)

PHONE NUMBER

WHEN CAN YOU START?(Required)

MM slash DD slash YYYY

WHICH CITY ARE YOU INTERESTED IN WORKING?(Required)

St. Joseph, MO

Kansas City, KS

HIGH SCHOOL(Required)

DATES ATTENDED(Required)

GRADUATED?(Required)

COLLEGE

DATES ATTENDED

GRADUATED?

MILITARY SERVICE?

BRANCH

DATES SERVED

ATHLETICS / ACTIVITIES

WHY WOULD YOU MAKE A GOOD SPEEDY'S EMPLOYEE?(Required)

PLEASE LIST ANY EQUIPMENT OR SKILLS USED IN PREVIOUS EMPLOYMENT THAT MAY CONTRIBUTE TO EMPLOYMENT AT SPEEDY'S

DO YOU HAVE ANY LIMITATIONS THAT WOULD IMPAIR YOUR PERFORMANCE OF THE JOB DUTY APPLIED FOR. IF SO, PLEASE DESCRIBE

DO YOU HAVE RELIABLE TRANSPORTATION?

WHAT BEST DESCRIBES THE TYPE OF EMPLOYMENT OPPORTUNITY YOU ARE LOOKING FOR?

Full Time

Part Time

Daytime

Evening

Overnight

Weekend

Weekday

MOST RECENT EMPLOYER(Required)

EMPLOYER PHONE NUMBER(Required)

DATES OF EMPLOYMENT(Required)

POSITION(Required)

LEAVING WAGE

REASON FOR LEAVING(Required)

PREVIOUS EMPLOYER

EMPLOYER PHONE NUMBER

DATES OF EMPLOYMENT

POSITION

LEAVING WAGE

REASON FOR LEAVING

REFERENCE 1 - NAME(Required)

PHONE NUMBER(Required)

OCCUPATION(Required)

RELATION(Required)

REFERENCE 2 - NAME

PHONE NUMBER

OCCUPATION

RELATION

REFERENCE 3 - NAME

PHONE NUMBER

OCCUPATION

RELATION

WOULD YOU BE WILLING TO SUBMIT TO RANDOM DRUG TESTING?(Required)

Yes

No

I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED IN THE APPLICATION. I UNDERSTAND THAT MISREPRESENTATION OR OMISSION OF FACTS REQUESTED IS CAUSE FOR DISMISSAL. FURTHER, I UNDERSTAND AND AGREE THAT MY EMPLOYMENT IS FOR NO DEFINITE PERIOD AND MAY, REGARDLESS OF THE DATE OF PAYMENT OF MY WAGES AND SALARY, BE TERMINATED AT ANY TIME WITHOUT ANY PREVIOUS NOTICE.

DATE(Required)

MM slash DD slash YYYY

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